<div class="middlebg">

<div id="component">
<form method="post" action="index.php">

<div class="componentheading">Lost your Password?</div>

<table width="100%" cellspacing="0" cellpadding="0" border="0"
	class="contentpane">
	<tbody>
		<tr>
			<td colspan="2">Please enter your Username and e-mail address then
			click on the Send Password button.<br>
			You will receive a new password shortly. Use this new password to
			access the site.</td>
		</tr>
		<tr>
			<td>Username:</td>
			<td><input type="text" maxlength="25" size="40" class="inputbox"
				name="checkusername"></td>
		</tr>
		<tr>
			<td>E-mail Address:</td>
			<td><input type="text" size="40" class="inputbox" name="confirmEmail">
			</td>
		</tr>
		<tr>
			<td colspan="2"><input type="submit" value="Send Password"
				class="button"></td>
		</tr>
	</tbody>
</table>

<input type="hidden" value="com_registration" name="option"> <input
	type="hidden" value="sendNewPass" name="task"> <input type="hidden"
	value="1" name="j369f439b1b632c5a646814717581f7ef"></form>
</div>

</div>